{"id":25441,"date":"2026-09-17T11:53:15","date_gmt":"2026-09-17T11:53:15","guid":{"rendered":"https:\/\/coulinmedical.com\/?page_id=25441"},"modified":"2026-10-27T14:23:08","modified_gmt":"2026-10-27T14:23:08","slug":"lesion-du-menisque","status":"publish","type":"page","link":"https:\/\/coulinmedical.com\/en\/lesion-du-menisque\/","title":{"rendered":"MENISCUS TEAR"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"25441\" class=\"elementor elementor-25441\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-14c72c0 e-grid e-con-boxed e-con e-parent\" data-id=\"14c72c0\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-dc6fc58 elementor-widget-mobile__width-initial elementor-widget elementor-widget-heading\" data-id=\"dc6fc58\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">L\u00c9SION DU M\u00c9NISQUE<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-404f408 elementor-nav-menu__align-center elementor-nav-menu--dropdown-none elementor-widget-mobile__width-inherit home-page-3-buttons elementor-fixed elementor-widget elementor-widget-nav-menu\" data-id=\"404f408\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;sticky&quot;:&quot;top&quot;,&quot;_position&quot;:&quot;fixed&quot;,&quot;layout&quot;:&quot;horizontal&quot;,&quot;submenu_icon&quot;:{&quot;value&quot;:&quot;&lt;svg aria-hidden=\\&quot;true\\&quot; 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Chaque genou, chaque douleur et chaque patient n\u00e9cessitent une r\u00e9ponse diff\u00e9rente. \u00bb<\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c33e344 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"c33e344\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8ffaa11 elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"8ffaa11\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<article class=\"text-token-text-primary w-full focus:outline-none [--shadow-height:45px] has-data-writing-block:pointer-events-none has-data-writing-block:-mt-(--shadow-height) has-data-writing-block:pt-(--shadow-height) [&amp;:has([data-writing-block])&gt;*]:pointer-events-auto scroll-mt-(--header-height)\" dir=\"auto\" tabindex=\"-1\" data-turn-id=\"19d5947d-7672-4641-b4bd-c66a79a14de3\" data-testid=\"conversation-turn-7\" data-scroll-anchor=\"false\" data-turn=\"user\"><div class=\"text-base my-auto mx-auto pt-12 [--thread-content-margin:--spacing(4)] @w-sm\/main:[--thread-content-margin:--spacing(6)] @w-lg\/main:[--thread-content-margin:--spacing(16)] px-(--thread-content-margin)\"><div class=\"[--thread-content-max-width:40rem] @w-lg\/main:[--thread-content-max-width:48rem] mx-auto max-w-(--thread-content-max-width) flex-1 group\/turn-messages focus-visible:outline-hidden relative flex w-full min-w-0 flex-col\" tabindex=\"-1\"><div class=\"flex max-w-full flex-col grow\"><div class=\"min-h-8 text-message relative flex w-full flex-col items-end gap-2 text-start break-words whitespace-normal [.text-message+&amp;]:mt-1\" dir=\"auto\" data-message-author-role=\"user\" data-message-id=\"19d5947d-7672-4641-b4bd-c66a79a14de3\"><div class=\"flex w-full flex-col gap-1 empty:hidden items-end rtl:items-start\"><div class=\"user-message-bubble-color corner-superellipse\/1.1 relative rounded-[18px] px-4 py-1.5 data-[multiline]:py-3 max-w-[var(--user-chat-width,70%)]\"><div class=\"whitespace-pre-wrap\"><p class=\"PDq2pG_selectionAnchorContainer\" dir=\"auto\" data-start=\"954\" data-end=\"1191\">Une l\u00e9sion du m\u00e9nisque peut appara\u00eetre brutalement apr\u00e8s une torsion du genou ou s\u2019installer progressivement avec l\u2019usure. Douleur, gonflement, accrochage ou blocage ne signifient cependant pas toujours qu\u2019une op\u00e9ration est n\u00e9cessaire.<\/p><p dir=\"auto\" data-start=\"1198\" data-end=\"1314\">Un diagnostic pr\u00e9cis permet d\u2019identifier le type de l\u00e9sion, son retentissement r\u00e9el et le traitement le plus adapt\u00e9.<\/p><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/article>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t<div class=\"elementor-element elementor-element-f44e654 e-grid e-con-full e-con e-parent\" data-id=\"f44e654\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1058ae5 elementor-hidden-desktop elementor-hidden-tablet elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"1058ae5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-cda79dd e-con-full e-flex e-con e-child\" data-id=\"cda79dd\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6bad02e elementor-widget__width-initial elementor-widget elementor-widget-heading\" data-id=\"6bad02e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">comprendre les m\u00e9nisques<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3fddc2e elementor-widget elementor-widget-text-editor\" data-id=\"3fddc2e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p class=\"PDq2pG_selectionAnchorContainer\" dir=\"auto\" data-start=\"1240\" data-end=\"1441\">Chaque genou poss\u00e8de deux m\u00e9nisques, situ\u00e9s entre le f\u00e9mur et le tibia. Ces structures fibrocartilagineuses contribuent \u00e0 r\u00e9partir les contraintes, \u00e0 amortir les impacts et \u00e0 stabiliser l\u2019articulation.<\/p><p dir=\"auto\" data-start=\"1443\" data-end=\"1633\">Une l\u00e9sion du m\u00e9nisque peut concerner le m\u00e9nisque interne ou le m\u00e9nisque externe. Sa localisation, sa forme et son origine influencent les sympt\u00f4mes ainsi que les possibilit\u00e9s de traitement.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-bddd8ca elementor-widget elementor-widget-html\" data-id=\"bddd8ca\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<iframe id=\"cmi-frame-lesion-du-menisque\"\n  src=\"\/wp-content\/uploads\/image-interactives\/image-interactive-lesion-du-menisque.html\"\n  title=\"Image interactive : l\u00e9sion du m\u00e9nisque\"\n  loading=\"lazy\" scrolling=\"no\"\n  style=\"display:block;width:100%;height:900px;border:0;overflow:hidden;background:transparent;\"><\/iframe>\n<script>\n(function(){\n  var f=document.getElementById('cmi-frame-lesion-du-menisque');\n  window.addEventListener('message',function(e){\n    var d=e.data;\n    if(d&&d.type==='cmi-height'&&d.id==='lesion-du-menisque'&&d.h>0) f.style.height=d.h+'px';\n  });\n})();\n<\/script>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-4d52101 e-grid e-con-full e-con e-parent\" data-id=\"4d52101\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-16465eb e-con-full e-flex e-con e-child\" data-id=\"16465eb\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-0b046e9 elementor-hidden-desktop elementor-hidden-tablet elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"0b046e9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e5ceea2 elementor-widget elementor-widget-image\" data-id=\"e5ceea2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"1122\" height=\"1402\" src=\"https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/09\/Patient-presentant-une-douleur-liee-a-une-lesion-du-menisque-du-genou.png\" class=\"attachment-full size-full wp-image-25614\" alt=\"\" srcset=\"https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/09\/Patient-presentant-une-douleur-liee-a-une-lesion-du-menisque-du-genou.png 1122w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/09\/Patient-presentant-une-douleur-liee-a-une-lesion-du-menisque-du-genou-240x300.png 240w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/09\/Patient-presentant-une-douleur-liee-a-une-lesion-du-menisque-du-genou-640x800.png 640w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/09\/Patient-presentant-une-douleur-liee-a-une-lesion-du-menisque-du-genou-768x960.png 768w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/09\/Patient-presentant-une-douleur-liee-a-une-lesion-du-menisque-du-genou-10x12.png 10w\" sizes=\"(max-width: 1122px) 100vw, 1122px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-abd889e e-con-full e-flex e-con e-child\" data-id=\"abd889e\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6c34a81 elementor-widget elementor-widget-heading\" data-id=\"6c34a81\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">RECONNA\u00ceTRE LES SYMPT\u00d4MES<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a7229b9 elementor-widget elementor-widget-text-editor\" data-id=\"a7229b9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p data-start=\"355\" data-end=\"584\">Les sympt\u00f4mes d\u2019une <strong data-start=\"258\" data-end=\"280\">l\u00e9sion du m\u00e9nisque<\/strong> varient selon son origine, sa localisation et sa stabilit\u00e9. Ils peuvent appara\u00eetre imm\u00e9diatement apr\u00e8s une torsion du genou ou s\u2019installer progressivement, sans traumatisme pr\u00e9cis.<\/p><p data-start=\"355\" data-end=\"584\">\u00a0<\/p><ul><li><strong data-start=\"465\" data-end=\"488\">Douleur localis\u00e9e :<\/strong> elle est g\u00e9n\u00e9ralement ressentie sur le c\u00f4t\u00e9 interne ou externe du genou, au niveau de l\u2019interligne articulaire.<\/li><li><strong data-start=\"604\" data-end=\"636\">Douleur lors des rotations :<\/strong> pivoter, s\u2019accroupir, se relever ou changer brusquement de direction peut r\u00e9veiller la douleur.<\/li><li><strong data-start=\"736\" data-end=\"752\">Gonflement :<\/strong> le genou peut gonfler quelques heures apr\u00e8s le traumatisme ou apr\u00e8s une activit\u00e9 prolong\u00e9e.<\/li><li><strong data-start=\"848\" data-end=\"880\">Accrochages ou claquements :<\/strong> certains mouvements peuvent provoquer une sensation d\u2019accrochage, accompagn\u00e9e ou non d\u2019un bruit.<\/li><li><strong data-start=\"981\" data-end=\"1004\">Perte de mobilit\u00e9 :<\/strong> le patient peut \u00e9prouver des difficult\u00e9s \u00e0 plier ou \u00e0 tendre compl\u00e8tement le genou.<\/li><li><strong data-start=\"1092\" data-end=\"1114\">Blocage du genou :<\/strong> un fragment m\u00e9niscal d\u00e9plac\u00e9 peut emp\u00eacher l\u2019extension compl\u00e8te de l\u2019articulation. Un genou r\u00e9ellement bloqu\u00e9 doit \u00eatre \u00e9valu\u00e9 rapidement.<\/li><\/ul><p>\u00a0<\/p><p>La pr\u00e9sence d\u2019une l\u00e9sion du m\u00e9nisque sur une IRM ne signifie pas n\u00e9cessairement qu\u2019elle est responsable de la douleur.<\/p><ul><li style=\"list-style-type: none;\">\u00a0<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-a7098bb e-con-full e-flex e-con e-parent\" data-id=\"a7098bb\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t<div class=\"elementor-element elementor-element-95bc5af e-con-full e-flex e-con e-child\" data-id=\"95bc5af\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-d47d58e elementor-widget elementor-widget-heading\" data-id=\"d47d58e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">L\u00c9SION TRAUMATIQUE OU D\u00c9G\u00c9N\u00c9RATIVE ?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b9446dd elementor-widget elementor-widget-text-editor\" data-id=\"b9446dd\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p data-start=\"1179\" data-end=\"1406\">Toutes les l\u00e9sions m\u00e9niscales ne surviennent pas dans les m\u00eames circonstances. Certaines apparaissent brutalement sur un m\u00e9nisque auparavant sain, tandis que d\u2019autres se d\u00e9veloppent progressivement dans un tissu fragilis\u00e9 par le temps.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-01ec703 e-con-full e-grid e-con e-child\" data-id=\"01ec703\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-5ab82de e-con-full e-flex e-con e-child\" data-id=\"5ab82de\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6ef4d72 elementor-widget elementor-widget-heading\" data-id=\"6ef4d72\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">LA L\u00c9SION TRAUMATIQUE<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-09a2795 elementor-widget elementor-widget-text-editor\" data-id=\"09a2795\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p class=\"PDq2pG_selectionAnchorContainer\" dir=\"auto\" data-start=\"588\" data-end=\"765\">Elle survient g\u00e9n\u00e9ralement apr\u00e8s un mouvement de torsion du genou, souvent lorsque le pied reste bloqu\u00e9 au sol. Elle concerne plus fr\u00e9quemment les personnes jeunes et sportives.<\/p><p dir=\"auto\" data-start=\"767\" data-end=\"957\">La douleur peut \u00eatre brutale et s\u2019accompagner d\u2019un gonflement, d\u2019un claquement ou d\u2019un blocage. Une l\u00e9sion ligamentaire, notamment du ligament crois\u00e9 ant\u00e9rieur, peut \u00e9galement \u00eatre associ\u00e9e.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-b238a03 e-con-full e-flex e-con e-child\" data-id=\"b238a03\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-54fc9e2 elementor-widget elementor-widget-heading\" data-id=\"54fc9e2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">LA L\u00c9SION D\u00c9G\u00c9N\u00c9RATIVE<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c7a41c8 elementor-widget elementor-widget-text-editor\" data-id=\"c7a41c8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p class=\"PDq2pG_selectionAnchorContainer\" dir=\"auto\" data-start=\"1007\" data-end=\"1185\">Elle appara\u00eet progressivement lorsque le tissu m\u00e9niscal devient plus fragile. Un mouvement banal, un accroupissement ou le fait de se relever peut alors d\u00e9clencher les sympt\u00f4mes.<\/p><p dir=\"auto\" data-start=\"1187\" data-end=\"1369\">Ces l\u00e9sions sont plus fr\u00e9quentes \u00e0 partir de 40 ou 50 ans et peuvent \u00eatre associ\u00e9es \u00e0 une usure du cartilage. La douleur n\u2019est donc pas toujours provoqu\u00e9e uniquement par le m\u00e9nisque.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-563fc27 elementor-widget elementor-widget-text-editor\" data-id=\"563fc27\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Distinguer une l\u00e9sion traumatique d\u2019une l\u00e9sion d\u00e9g\u00e9n\u00e9rative est essentiel, car leur prise en charge n\u2019est pas la m\u00eame.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-a5ec2b5 e-grid e-con-full e-con e-parent\" data-id=\"a5ec2b5\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-92e6614 e-con-full e-flex e-con e-child\" data-id=\"92e6614\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-77b77e8 elementor-widget elementor-widget-image\" data-id=\"77b77e8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"1122\" height=\"1402\" src=\"https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/09\/Patiente-ressentant-les-symptomes-dune-lesion-du-menisque-apres-un-mouvement-de-rotation.png\" class=\"attachment-full size-full wp-image-25615\" alt=\"\" srcset=\"https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/09\/Patiente-ressentant-les-symptomes-dune-lesion-du-menisque-apres-un-mouvement-de-rotation.png 1122w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/09\/Patiente-ressentant-les-symptomes-dune-lesion-du-menisque-apres-un-mouvement-de-rotation-240x300.png 240w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/09\/Patiente-ressentant-les-symptomes-dune-lesion-du-menisque-apres-un-mouvement-de-rotation-640x800.png 640w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/09\/Patiente-ressentant-les-symptomes-dune-lesion-du-menisque-apres-un-mouvement-de-rotation-768x960.png 768w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/09\/Patiente-ressentant-les-symptomes-dune-lesion-du-menisque-apres-un-mouvement-de-rotation-10x12.png 10w\" sizes=\"(max-width: 1122px) 100vw, 1122px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-ae5bad5 e-con-full e-flex e-con e-child\" data-id=\"ae5bad5\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-673ffd0 elementor-widget elementor-widget-heading\" data-id=\"673ffd0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">POSER LE BON DIAGNOSTIC<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-73de5f4 elementor-widget elementor-widget-text-editor\" data-id=\"73de5f4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p data-start=\"1999\" data-end=\"2193\">Le diagnostic d\u2019une l\u00e9sion du m\u00e9nisque ne repose pas uniquement sur une IRM. Il tient compte des circonstances d\u2019apparition de la douleur, des sympt\u00f4mes ressentis, de l\u2019examen du genou et de l\u2019\u00e9tat g\u00e9n\u00e9ral de l\u2019articulation.<\/p><p data-start=\"1999\" data-end=\"2193\">\u00a0<\/p><p dir=\"auto\" data-section-id=\"1xcjj7g\" data-start=\"419\" data-end=\"444\"><strong>01 \u2014 L\u2019INTERROGATOIRE<\/strong><\/p><p dir=\"auto\" data-start=\"446\" data-end=\"616\">Le m\u00e9decin recherche un \u00e9ventuel mouvement de torsion, l\u2019apparition d\u2019un gonflement, la localisation de la douleur et la pr\u00e9sence d\u2019accrochages ou d\u2019un v\u00e9ritable blocage.<\/p><p dir=\"auto\" data-section-id=\"1nv1g3j\" data-start=\"618\" data-end=\"644\"><strong>02 \u2014 L\u2019EXAMEN CLINIQUE<\/strong><\/p><p dir=\"auto\" data-start=\"646\" data-end=\"826\">La mobilit\u00e9, la stabilit\u00e9 et les zones douloureuses du genou sont \u00e9valu\u00e9es. Certains mouvements permettent de solliciter les m\u00e9nisques et de rechercher une douleur caract\u00e9ristique.<\/p><p dir=\"auto\" data-section-id=\"11yxgo9\" data-start=\"828\" data-end=\"854\"><strong>03 \u2014 LES RADIOGRAPHIES<\/strong><\/p><p dir=\"auto\" data-start=\"856\" data-end=\"1097\">Les radiographies en charge permettent d\u2019\u00e9valuer l\u2019axe de la jambe, l\u2019espace articulaire et une \u00e9ventuelle arthrose associ\u00e9e. Elles ne montrent pas directement le m\u00e9nisque, mais apportent des informations importantes sur l\u2019ensemble du genou.<\/p><p dir=\"auto\" data-section-id=\"1lbqbsl\" data-start=\"1099\" data-end=\"1113\"><strong>04 \u2014 L\u2019IRM<\/strong><\/p><p dir=\"auto\" data-start=\"1115\" data-end=\"1340\">L\u2019IRM permet d\u2019observer les m\u00e9nisques, le cartilage, les ligaments et l\u2019os. Elle peut pr\u00e9ciser la localisation et la forme de la l\u00e9sion, mais son r\u00e9sultat doit toujours \u00eatre interpr\u00e9t\u00e9 avec les sympt\u00f4mes et l\u2019examen clinique.<\/p><p dir=\"auto\" data-start=\"1113\" data-end=\"1318\">\u00a0<\/p><p dir=\"auto\" data-start=\"1113\" data-end=\"1318\"><strong>Une anomalie m\u00e9niscale visible sur une IRM peut \u00eatre ancienne et ne pas \u00eatre responsable des douleurs actuelles.<\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-4c33e9a e-grid e-con-full e-con e-parent\" data-id=\"4c33e9a\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-4d22fe8 e-con-full e-flex e-con e-child\" data-id=\"4d22fe8\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-33b26c1 e-con-full e-flex e-con e-child\" data-id=\"33b26c1\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-8a7a13a elementor-widget elementor-widget-heading\" data-id=\"8a7a13a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">UN TRAITEMENT CONSERVATEUR EST SOUVENT POSSIBLE\u200b<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-47c3000 elementor-widget elementor-widget-text-editor\" data-id=\"47c3000\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p class=\"PDq2pG_selectionAnchorContainer\" dir=\"auto\" data-start=\"6423\" data-end=\"6581\">Toutes les l\u00e9sions du m\u00e9nisque ne n\u00e9cessitent pas une intervention chirurgicale. Lorsque le genou n\u2019est pas bloqu\u00e9 et que la l\u00e9sion para\u00eet stable, un traitement conservateur peut \u00eatre propos\u00e9 en premi\u00e8re intention.<\/p><p dir=\"auto\" data-start=\"6583\" data-end=\"6705\">Il repose g\u00e9n\u00e9ralement sur une adaptation temporaire des activit\u00e9s, la diminution des mouvements douloureux et un programme de physioth\u00e9rapie. L\u2019objectif est de retrouver de la mobilit\u00e9, de renforcer les muscles qui stabilisent le genou et de reprendre progressivement les activit\u00e9s.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2d5ec9c elementor-widget elementor-widget-n-accordion\" data-id=\"2d5ec9c\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;default_state&quot;:&quot;all_collapsed&quot;,&quot;max_items_expended&quot;:&quot;one&quot;,&quot;n_accordion_animation_duration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:400,&quot;sizes&quot;:[]}}\" data-widget_type=\"nested-accordion.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"e-n-accordion\" aria-label=\"Accordion. Open links with Enter or Space, close with Escape, and navigate with Arrow Keys\">\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-4750\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"1\" tabindex=\"0\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-4750\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> ADAPTER L\u2019ACTIVIT\u00c9 <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><i aria-hidden=\"true\" class=\"icon icon-minus\"><\/i><\/span>\n\t\t\t<span class='e-closed'><i aria-hidden=\"true\" class=\"icon icon-plus\"><\/i><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-4750\" class=\"elementor-element elementor-element-f3909de e-con-full e-flex e-con e-child\" data-id=\"f3909de\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-4750\" class=\"elementor-element elementor-element-e9fb762 e-flex e-con-boxed e-con e-child\" data-id=\"e9fb762\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-da8e483 elementor-widget elementor-widget-text-editor\" data-id=\"da8e483\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p class=\"PDq2pG_selectionAnchorContainer\" dir=\"auto\" data-start=\"6758\" data-end=\"6955\">R\u00e9duire temporairement les mouvements de pivot, les flexions profondes et les activit\u00e9s qui d\u00e9clenchent la douleur.<\/p><p dir=\"auto\" data-start=\"6957\" data-end=\"7060\">\u00a0<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-4751\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"2\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-4751\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> RESTAURER LA MOBILIT\u00c9 <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><i aria-hidden=\"true\" class=\"icon icon-minus\"><\/i><\/span>\n\t\t\t<span class='e-closed'><i aria-hidden=\"true\" class=\"icon icon-plus\"><\/i><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-4751\" class=\"elementor-element elementor-element-93bb864 e-con-full e-flex e-con e-child\" data-id=\"93bb864\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-d43ca6d elementor-widget elementor-widget-text-editor\" data-id=\"d43ca6d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p class=\"PDq2pG_selectionAnchorContainer\" dir=\"auto\" data-start=\"7101\" data-end=\"7274\">Pr\u00e9server progressivement la flexion et l\u2019extension du genou sans provoquer de r\u00e9action importante.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-4752\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"3\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-4752\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> RENFORCER LE GENOU <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><i aria-hidden=\"true\" class=\"icon icon-minus\"><\/i><\/span>\n\t\t\t<span class='e-closed'><i aria-hidden=\"true\" class=\"icon icon-plus\"><\/i><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-4752\" class=\"elementor-element elementor-element-c567db1 e-con-full e-flex e-con e-child\" data-id=\"c567db1\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-5e706c8 elementor-widget elementor-widget-text-editor\" data-id=\"5e706c8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p class=\"PDq2pG_selectionAnchorContainer\" dir=\"auto\" data-start=\"7436\" data-end=\"7577\">Travailler les muscles de la cuisse, de la hanche et du tronc afin d\u2019am\u00e9liorer le contr\u00f4le du membre inf\u00e9rieur.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-4753\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"4\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-4753\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> REPRENDRE PROGRESSIVEMENT <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><i aria-hidden=\"true\" class=\"icon icon-minus\"><\/i><\/span>\n\t\t\t<span class='e-closed'><i aria-hidden=\"true\" class=\"icon icon-plus\"><\/i><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-4753\" class=\"elementor-element elementor-element-115e12e e-flex e-con-boxed e-con e-child\" data-id=\"115e12e\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-71b3980 elementor-widget elementor-widget-text-editor\" data-id=\"71b3980\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p class=\"PDq2pG_selectionAnchorContainer\" dir=\"auto\" data-start=\"7710\" data-end=\"7912\">R\u00e9introduire la marche, le v\u00e9lo, la course ou le sport selon les sympt\u00f4mes et les objectifs du patient.<\/p><p dir=\"auto\" data-start=\"2233\" data-end=\"2412\">\u00a0<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e905dee elementor-widget elementor-widget-text-editor\" data-id=\"e905dee\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Pr\u00e9server le mouvement et am\u00e9liorer le confort restent les premiers objectifs lorsqu\u2019une prise en charge sans chirurgie est possible.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-61f3849 e-con-full e-flex e-con e-child\" data-id=\"61f3849\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2f73d2c elementor-hidden-desktop elementor-hidden-tablet elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"2f73d2c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-fe86703 elementor-widget elementor-widget-image\" data-id=\"fe86703\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"1122\" height=\"1402\" src=\"https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/09\/Examen-clinique-du-genou-pour-diagnostiquer-une-lesion-du-menisque.png\" class=\"attachment-full size-full wp-image-25616\" alt=\"Exercice de physioth\u00e9rapie pour le traitement conservateur d\u2019une l\u00e9sion du m\u00e9nisque\" srcset=\"https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/09\/Examen-clinique-du-genou-pour-diagnostiquer-une-lesion-du-menisque.png 1122w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/09\/Examen-clinique-du-genou-pour-diagnostiquer-une-lesion-du-menisque-240x300.png 240w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/09\/Examen-clinique-du-genou-pour-diagnostiquer-une-lesion-du-menisque-640x800.png 640w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/09\/Examen-clinique-du-genou-pour-diagnostiquer-une-lesion-du-menisque-768x960.png 768w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/09\/Examen-clinique-du-genou-pour-diagnostiquer-une-lesion-du-menisque-10x12.png 10w\" sizes=\"(max-width: 1122px) 100vw, 1122px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-ef058c7 e-con-full e-flex e-con e-parent\" data-id=\"ef058c7\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t<div class=\"elementor-element elementor-element-e19cff2 e-con-full e-flex e-con e-child\" data-id=\"e19cff2\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-51df04c elementor-widget__width-initial elementor-widget elementor-widget-heading\" data-id=\"51df04c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">QUAND FAUT-IL OP\u00c9RER LE M\u00c9NISQUE ?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-43729a9 elementor-widget elementor-widget-text-editor\" data-id=\"43729a9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p class=\"PDq2pG_selectionAnchorContainer\" dir=\"auto\" data-start=\"3767\" data-end=\"3875\">La d\u00e9cision d\u2019op\u00e9rer d\u00e9pend davantage des sympt\u00f4mes et du type de l\u00e9sion que de sa seule pr\u00e9sence sur l\u2019IRM.<\/p><p dir=\"auto\" data-start=\"3877\" data-end=\"4124\">Une intervention peut \u00eatre envisag\u00e9e lorsqu\u2019un fragment m\u00e9niscal instable provoque des blocages ou des accrochages r\u00e9p\u00e9t\u00e9s, lorsque le genou reste r\u00e9ellement bloqu\u00e9 ou lorsque les douleurs persistent malgr\u00e9 un traitement conservateur bien conduit.<\/p><p dir=\"auto\" data-start=\"4126\" data-end=\"4289\">Chez une personne jeune, une l\u00e9sion traumatique r\u00e9cente situ\u00e9e dans une zone susceptible de cicatriser peut justifier une r\u00e9paration afin de pr\u00e9server le m\u00e9nisque.<\/p><p dir=\"auto\" data-start=\"4291\" data-end=\"4532\">En revanche, une l\u00e9sion d\u00e9g\u00e9n\u00e9rative associ\u00e9e \u00e0 une arthrose ne b\u00e9n\u00e9ficie pas syst\u00e9matiquement d\u2019une arthroscopie. Dans cette situation, le traitement doit prendre en compte l\u2019ensemble de l\u2019articulation et pas uniquement l\u2019image du m\u00e9nisque.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-a6038b2 e-con-full e-grid e-con e-child\" data-id=\"a6038b2\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-a1d46e6 e-con-full e-flex e-con e-child\" data-id=\"a1d46e6\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-88b9f45 elementor-widget elementor-widget-heading\" data-id=\"88b9f45\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">BLOCAGE M\u00c9CANIQUE<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-56697c3 elementor-widget elementor-widget-text-editor\" data-id=\"56697c3\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p class=\"PDq2pG_selectionAnchorContainer\" dir=\"auto\" data-start=\"748\" data-end=\"872\">Le genou ne peut plus \u00eatre compl\u00e8tement tendu en raison d\u2019un fragment d\u00e9plac\u00e9. Cette situation n\u00e9cessite une \u00e9valuation rapide.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-6a9f58d e-con-full e-flex e-con e-child\" data-id=\"6a9f58d\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-90afccf elementor-widget elementor-widget-heading\" data-id=\"90afccf\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">L\u00c9SION TRAUMATIQUE INSTABLE<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-219134e elementor-widget elementor-widget-text-editor\" data-id=\"219134e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p class=\"PDq2pG_selectionAnchorContainer\" dir=\"auto\" data-start=\"1211\" data-end=\"1401\">Une d\u00e9chirure r\u00e9cente peut provoquer des douleurs, des accrochages et une g\u00eane importante chez une personne active.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-aec14a9 e-con-full e-flex e-con e-child\" data-id=\"aec14a9\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-40306f2 elementor-widget elementor-widget-heading\" data-id=\"40306f2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">PERSISTANCE DES SYMPT\u00d4MES<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c0b3f55 elementor-widget elementor-widget-text-editor\" data-id=\"c0b3f55\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p class=\"PDq2pG_selectionAnchorContainer\" dir=\"auto\" data-start=\"1678\" data-end=\"1856\">Une intervention peut \u00eatre discut\u00e9e lorsque les douleurs m\u00e9caniques persistent malgr\u00e9 la physioth\u00e9rapie et l\u2019adaptation des activit\u00e9s.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-f25de0f e-con-full e-flex e-con e-child\" data-id=\"f25de0f\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-4afc8e1 elementor-widget elementor-widget-heading\" data-id=\"4afc8e1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">L\u00c9SION ASSOCI\u00c9E<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d8f2d50 elementor-widget elementor-widget-text-editor\" data-id=\"d8f2d50\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p class=\"PDq2pG_selectionAnchorContainer\" dir=\"auto\" data-start=\"1678\" data-end=\"1856\">La l\u00e9sion m\u00e9niscale peut \u00eatre associ\u00e9e \u00e0 une rupture ligamentaire ou \u00e0 une atteinte du cartilage n\u00e9cessitant une strat\u00e9gie globale.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-06c9f14 e-grid e-con-full e-con e-parent\" data-id=\"06c9f14\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-01eb791 e-con-full e-flex e-con e-child\" data-id=\"01eb791\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-0dfc96f elementor-widget elementor-widget-heading\" data-id=\"0dfc96f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">PR\u00c9SERVER LE M\u00c9NISQUE CHAQUE FOIS QUE POSSIBLE<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-571f7c0 elementor-widget elementor-widget-text-editor\" data-id=\"571f7c0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p class=\"PDq2pG_selectionAnchorContainer\" dir=\"auto\" data-section-id=\"zamd46\" data-start=\"5658\" data-end=\"5674\">Lorsque la chirurgie est indiqu\u00e9e, elle est g\u00e9n\u00e9ralement r\u00e9alis\u00e9e par arthroscopie \u00e0 l\u2019aide d\u2019une cam\u00e9ra et de petits instruments introduits dans le genou. Deux gestes principaux peuvent \u00eatre envisag\u00e9s.<\/p><p dir=\"auto\" data-section-id=\"zamd46\" data-start=\"5658\" data-end=\"5674\">\u00a0<\/p><p dir=\"auto\" data-section-id=\"rx6lbp\" data-start=\"5880\" data-end=\"5908\"><strong>01 \u2014 LA SUTURE M\u00c9NISCALE<\/strong><\/p><p dir=\"auto\" data-start=\"5910\" data-end=\"6119\">La suture consiste \u00e0 r\u00e9parer la d\u00e9chirure afin de conserver le m\u00e9nisque. Elle est privil\u00e9gi\u00e9e lorsque la localisation, la forme et l\u2019anciennet\u00e9 de la l\u00e9sion offrent une possibilit\u00e9 suffisante de cicatrisation.<\/p><p dir=\"auto\" data-start=\"6121\" data-end=\"6314\">La r\u00e9cup\u00e9ration est plus progressive, car le m\u00e9nisque doit avoir le temps de cicatriser. Une limitation temporaire de l\u2019appui ou de la flexion peut \u00eatre n\u00e9cessaire selon la r\u00e9paration r\u00e9alis\u00e9e.<\/p><p dir=\"auto\" data-section-id=\"seoydo\" data-start=\"6316\" data-end=\"6351\"><strong>02 \u2014 LA M\u00c9NISCECTOMIE PARTIELLE<\/strong><\/p><p dir=\"auto\" data-start=\"6353\" data-end=\"6550\">Lorsque la l\u00e9sion ne peut pas \u00eatre r\u00e9par\u00e9e, seule la partie instable et ab\u00eem\u00e9e du m\u00e9nisque peut \u00eatre retir\u00e9e. Le chirurgien cherche alors \u00e0 conserver le plus de tissu m\u00e9niscal fonctionnel possible.<\/p><p dir=\"auto\" data-start=\"6552\" data-end=\"6773\">La r\u00e9cup\u00e9ration initiale est g\u00e9n\u00e9ralement plus rapide qu\u2019apr\u00e8s une suture. Toutefois, retirer une partie du m\u00e9nisque diminue sa capacit\u00e9 \u00e0 r\u00e9partir les contraintes et peut favoriser l\u2019usure de l\u2019articulation \u00e0 long terme.<\/p><p dir=\"auto\" data-start=\"1268\" data-end=\"1456\">\u00a0<\/p><p dir=\"auto\" data-start=\"1268\" data-end=\"1456\"><strong>La pr\u00e9servation m\u00e9niscale constitue une priorit\u00e9 lorsque la l\u00e9sion peut \u00eatre r\u00e9par\u00e9e.<\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-c029554 e-con-full e-flex e-con e-child\" data-id=\"c029554\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-16cfa8d elementor-widget elementor-widget-image\" data-id=\"16cfa8d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"1561\" height=\"1008\" src=\"https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/09\/lesion-du-menisque-preserver.png\" class=\"attachment-full size-full wp-image-26010\" alt=\"Explication d\u2019une l\u00e9sion du m\u00e9nisque \u00e0 l\u2019aide d\u2019une maquette de genou\" srcset=\"https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/09\/lesion-du-menisque-preserver.png 1561w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/09\/lesion-du-menisque-preserver-400x258.png 400w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/09\/lesion-du-menisque-preserver-1239x800.png 1239w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/09\/lesion-du-menisque-preserver-768x496.png 768w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/09\/lesion-du-menisque-preserver-1536x992.png 1536w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/09\/lesion-du-menisque-preserver-18x12.png 18w\" sizes=\"(max-width: 1561px) 100vw, 1561px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-2fb3283 e-grid e-con-full e-con e-parent\" data-id=\"2fb3283\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-678d954 e-con-full e-flex e-con e-child\" data-id=\"678d954\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a2cbefe elementor-hidden-desktop elementor-hidden-tablet elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"a2cbefe\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-455454e elementor-widget elementor-widget-image\" data-id=\"455454e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"1122\" height=\"1402\" src=\"https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/09\/reprise-activite-lesion-menisque-fond-neutre.webp.png\" class=\"attachment-full size-full wp-image-25618\" alt=\"Femme reprenant la marche avec confiance apr\u00e8s une l\u00e9sion du m\u00e9nisque\" srcset=\"https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/09\/reprise-activite-lesion-menisque-fond-neutre.webp.png 1122w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/09\/reprise-activite-lesion-menisque-fond-neutre.webp-240x300.png 240w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/09\/reprise-activite-lesion-menisque-fond-neutre.webp-640x800.png 640w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/09\/reprise-activite-lesion-menisque-fond-neutre.webp-768x960.png 768w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/09\/reprise-activite-lesion-menisque-fond-neutre.webp-10x12.png 10w\" sizes=\"(max-width: 1122px) 100vw, 1122px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-41bca07 e-con-full e-flex e-con e-child\" data-id=\"41bca07\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-717554e elementor-widget elementor-widget-heading\" data-id=\"717554e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">RETROUVER UNE ACTIVIT\u00c9 EN CONFIANCE<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-71175e9 elementor-widget elementor-widget-text-editor\" data-id=\"71175e9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p class=\"PDq2pG_selectionAnchorContainer\" dir=\"auto\" data-start=\"7243\" data-end=\"7470\">La r\u00e9cup\u00e9ration d\u00e9pend du type de l\u00e9sion, du traitement r\u00e9alis\u00e9 et des activit\u00e9s que le patient souhaite reprendre. Elle n\u2019est pas identique apr\u00e8s un traitement conservateur, une m\u00e9niscectomie partielle ou une suture m\u00e9niscale.<\/p><p dir=\"auto\" data-start=\"7243\" data-end=\"7470\">\u00a0<\/p><ul><li dir=\"auto\" data-start=\"7472\" data-end=\"7631\">Apr\u00e8s un traitement conservateur, la reprise d\u00e9pend principalement de la diminution de la douleur, de la r\u00e9cup\u00e9ration de la mobilit\u00e9 et du contr\u00f4le musculaire.<\/li><li dir=\"auto\" data-start=\"7633\" data-end=\"7778\">Apr\u00e8s une m\u00e9niscectomie partielle, l\u2019appui et la mobilit\u00e9 peuvent g\u00e9n\u00e9ralement \u00eatre repris rapidement, en fonction du gonflement et des douleurs.<\/li><li dir=\"auto\" data-start=\"7633\" data-end=\"7778\">Apr\u00e8s une suture m\u00e9niscale, la reprise est plus progressive afin de prot\u00e9ger la r\u00e9paration. Les consignes concernant l\u2019appui, la flexion et le retour au sport varient selon la localisation de la l\u00e9sion et la technique utilis\u00e9e.<\/li><\/ul><p dir=\"auto\" data-start=\"8009\" data-end=\"8229\">\u00a0<\/p><p dir=\"auto\" data-start=\"8009\" data-end=\"8229\">La physioth\u00e9rapie accompagne la r\u00e9cup\u00e9ration de la mobilit\u00e9, de la force, de l\u2019\u00e9quilibre et de la confiance dans le genou. La reprise sportive est d\u00e9cid\u00e9e selon des crit\u00e8res fonctionnels et non uniquement selon un d\u00e9lai.<\/p><p dir=\"auto\" data-start=\"8009\" data-end=\"8229\">\u00a0<\/p><p dir=\"auto\" data-start=\"8009\" data-end=\"8229\"><strong>L\u2019absence de douleur au repos ne suffit pas : le genou doit \u00e9galement retrouver force, mobilit\u00e9 et stabilit\u00e9.<\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-58d3cb5 e-grid e-con-full e-con e-parent\" data-id=\"58d3cb5\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-8dbef54 e-con-full e-flex e-con e-child\" data-id=\"8dbef54\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-7da6dd4 elementor-widget elementor-widget-heading\" data-id=\"7da6dd4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">UNE STRAT\u00c9GIE ADAPT\u00c9E \u00c0 CHAQUE L\u00c9SION<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5722e7c elementor-widget elementor-widget-text-editor\" data-id=\"5722e7c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p class=\"PDq2pG_selectionAnchorContainer\" dir=\"auto\" data-start=\"8672\" data-end=\"8875\">Il n\u2019existe pas un traitement unique pour toutes les l\u00e9sions du m\u00e9nisque. Deux l\u00e9sions d\u2019apparence similaire peuvent provoquer des sympt\u00f4mes tr\u00e8s diff\u00e9rents et n\u00e9cessiter des prises en charge distinctes.<\/p><p dir=\"auto\" data-start=\"8877\" data-end=\"9061\">Le Dr Beno\u00eet Coulin tient compte de l\u2019\u00e2ge du patient, du m\u00e9canisme de la l\u00e9sion, de la stabilit\u00e9 du genou, de l\u2019\u00e9tat du cartilage, des activit\u00e9s pratiqu\u00e9es et des objectifs personnels.<\/p><p dir=\"auto\" data-start=\"9063\" data-end=\"9352\">Lorsque cela est possible, la prise en charge privil\u00e9gie la conservation du m\u00e9nisque et de l\u2019articulation naturelle. La chirurgie est envisag\u00e9e lorsqu\u2019elle apporte un b\u00e9n\u00e9fice r\u00e9el, notamment en pr\u00e9sence d\u2019une l\u00e9sion traumatique r\u00e9parable, d\u2019un fragment instable ou d\u2019un blocage m\u00e9canique.<\/p><p dir=\"auto\" data-start=\"9063\" data-end=\"9352\">\u00a0<\/p><p dir=\"auto\" data-start=\"9063\" data-end=\"9352\"><strong>\u00ab Pr\u00e9server le m\u00e9nisque chaque fois que cela est possible permet de mieux prot\u00e9ger l\u2019articulation sur le long terme. \u00bb<\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-8fed409 e-con-full e-flex e-con e-child\" data-id=\"8fed409\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-4f5323a elementor-hidden-desktop elementor-hidden-tablet elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"4f5323a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ec60a87 elementor-widget elementor-widget-image\" data-id=\"ec60a87\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"1536\" height=\"1024\" src=\"https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/09\/strategie-lesion-menisque-analyse-irm.webp.png\" class=\"attachment-full size-full wp-image-25623\" alt=\"M\u00e9decin pr\u00e9sentant au patient une l\u00e9sion du m\u00e9nisque visible sur une IRM du genou\" srcset=\"https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/09\/strategie-lesion-menisque-analyse-irm.webp.png 1536w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/09\/strategie-lesion-menisque-analyse-irm.webp-400x267.png 400w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/09\/strategie-lesion-menisque-analyse-irm.webp-1200x800.png 1200w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/09\/strategie-lesion-menisque-analyse-irm.webp-768x512.png 768w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/09\/strategie-lesion-menisque-analyse-irm.webp-18x12.png 18w\" sizes=\"(max-width: 1536px) 100vw, 1536px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-d1f6bfa e-flex e-con-boxed e-con e-parent\" data-id=\"d1f6bfa\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-b31bcd5 elementor-hidden-desktop elementor-hidden-tablet elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"b31bcd5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-97779d1 elementor-widget elementor-widget-heading\" data-id=\"97779d1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">QUESTIONS FR\u00c9QUENTES<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-bf1d7a9 elementor-widget elementor-widget-html\" data-id=\"bf1d7a9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<style>\n#faq-arthrose {\n  --coulin-green: #A8B5A8;\n  --coulin-green-light: rgba(168, 181, 168, 0.45);\n  --coulin-orange: #E58A2B;\n  --coulin-black: #111111;\n\n  position: relative;\n  max-width: 90%;\n  margin: 0 auto;\n  display: flex;\n  align-items: flex-start;\n}\n\n#faq-arthrose .faq-col {\n  flex: 1;\n  display: flex;\n  flex-direction: column;\n  border: 1px solid var(--coulin-green);\n  font-family: \"Arboria\", sans-serif;\n}\n\n#faq-arthrose .faq-col:first-child {\n  border-radius: 12px 0 0 12px;\n  border-right: none;\n  margin-right: 1px;\n}\n\n#faq-arthrose .faq-col:last-child {\n  border-radius: 0 12px 12px 0;\n  border-left: none;\n  margin-left: 1px;\n}\n\n#faq-arthrose::after {\n  content: \"\";\n  position: absolute;\n  left: calc(50% - 0.5px);\n  top: 0;\n  bottom: 0;\n  width: 1px;\n  background: var(--coulin-green);\n  pointer-events: none;\n}\n\n#faq-arthrose .faq-item {\n  border-bottom: 1px solid var(--coulin-green-light);\n  color: var(--coulin-black);\n}\n\n#faq-arthrose .faq-col .faq-item:last-child {\n  border-bottom: none;\n}\n\n#faq-arthrose .faq-header {\n  display: flex;\n  align-items: center;\n  justify-content: space-between;\n  width: 100%;\n  min-height: 90px;\n  padding: 26px 22px;\n  gap: 14px;\n  border: none;\n  background: transparent;\n  color: var(--coulin-black);\n  text-align: left;\n  cursor: pointer;\n  transition: color 0.2s ease;\n}\n\n#faq-arthrose .faq-header:hover,\n#faq-arthrose .faq-item.open .faq-header {\n  color: var(--coulin-orange);\n}\n\n#faq-arthrose .faq-header:hover .faq-btn,\n#faq-arthrose .faq-item.open .faq-btn {\n  border-color: var(--coulin-orange);\n  color: var(--coulin-orange);\n}\n\n#faq-arthrose .faq-q {\n  font-family: \"Arboria\", sans-serif;\n  font-size: 13px;\n  font-weight: 400;\n  line-height: 1.45;\n  letter-spacing: 0.04em;\n  text-transform: uppercase;\n}\n\n#faq-arthrose .faq-btn {\n  flex-shrink: 0;\n  width: 30px;\n  height: 30px;\n  border: 1px solid var(--coulin-green);\n  border-radius: 50%;\n  display: flex;\n  align-items: center;\n  justify-content: center;\n  color: var(--coulin-orange);\n  font-size: 20px;\n  font-weight: 300;\n  line-height: 1;\n  background: transparent;\n  transition:\n    border-color 0.2s ease,\n    color 0.2s ease,\n    transform 0.3s ease;\n}\n\n#faq-arthrose .faq-item.open .faq-btn {\n  transform: rotate(45deg);\n}\n\n#faq-arthrose .faq-body {\n  max-height: 0;\n  overflow: hidden;\n  padding: 0 22px;\n  color: var(--coulin-black);\n  font-family: \"Arboria\", sans-serif;\n  font-size: 14px;\n  font-weight: 300;\n  line-height: 1.7;\n  transition:\n    max-height 0.35s ease,\n    padding 0.3s ease;\n}\n\n#faq-arthrose .faq-item.open .faq-body {\n  max-height: 600px;\n  padding: 0 22px 22px;\n}\n\n@media (max-width: 640px) {\n  #faq-arthrose {\n    max-width: 100%;\n    flex-direction: column;\n  }\n\n  #faq-arthrose::after {\n    display: none;\n  }\n\n  #faq-arthrose .faq-col {\n    width: 100%;\n  }\n\n  #faq-arthrose .faq-col:first-child {\n    margin-right: 0;\n    border-right: 1px solid var(--coulin-green);\n    border-bottom: none;\n    border-radius: 12px 12px 0 0;\n  }\n\n  #faq-arthrose .faq-col:last-child {\n    margin-left: 0;\n    border-top: 1px solid var(--coulin-green);\n    border-left: 1px solid var(--coulin-green);\n    border-radius: 0 0 12px 12px;\n  }\n\n  #faq-arthrose .faq-header {\n    min-height: auto;\n    padding: 22px 18px;\n  }\n\n  #faq-arthrose .faq-q {\n    font-size: 12px;\n  }\n\n  #faq-arthrose .faq-body {\n    padding: 0 18px;\n    font-size: 15px;\n  }\n\n  #faq-arthrose .faq-item.open .faq-body {\n    padding: 0 18px 20px;\n  }\n}\n<\/style>\n\n<div class=\"faq-outer\" id=\"faq-arthrose\">\n\n  <!-- Colonne gauche -->\n  <div class=\"faq-col\">\n\n    <div class=\"faq-item\">\n      <button\n        class=\"faq-header\"\n        type=\"button\"\n        aria-expanded=\"false\"\n      >\n        <span class=\"faq-q\">\n          Une l\u00e9sion du m\u00e9nisque peut-elle cicatriser seule ?\n        <\/span>\n        <span class=\"faq-btn\" aria-hidden=\"true\">+<\/span>\n      <\/button>\n\n      <div class=\"faq-body\">\n        La capacit\u00e9 de cicatrisation d\u00e9pend principalement de la localisation\n        et du type de l\u00e9sion. La partie p\u00e9riph\u00e9rique du m\u00e9nisque est mieux\n        vascularis\u00e9e et peut parfois cicatriser. Les l\u00e9sions situ\u00e9es dans la\n        partie centrale disposent d\u2019un potentiel de cicatrisation plus limit\u00e9.\n      <\/div>\n    <\/div>\n\n    <div class=\"faq-item\">\n      <button\n        class=\"faq-header\"\n        type=\"button\"\n        aria-expanded=\"false\"\n      >\n        <span class=\"faq-q\">\n          Peut-on marcher avec une l\u00e9sion du m\u00e9nisque ?\n        <\/span>\n        <span class=\"faq-btn\" aria-hidden=\"true\">+<\/span>\n      <\/button>\n\n      <div class=\"faq-body\">\n         Il est g\u00e9n\u00e9ralement possible de marcher si le genou n\u2019est pas bloqu\u00e9\n        et si la douleur reste supportable. Les mouvements de torsion, les\n        accroupissements profonds et les activit\u00e9s qui augmentent la douleur\n        ou le gonflement doivent cependant \u00eatre temporairement adapt\u00e9s.\n      <\/div>\n    <\/div>\n\n    <div class=\"faq-item\">\n      <button\n        class=\"faq-header\"\n        type=\"button\"\n        aria-expanded=\"false\"\n      >\n        <span class=\"faq-q\">\n          Une l\u00e9sion du m\u00e9nisque n\u00e9cessite-t-elle toujours<br> une op\u00e9ration ?\n        <\/span>\n        <span class=\"faq-btn\" aria-hidden=\"true\">+<\/span>\n      <\/button>\n\n      <div class=\"faq-body\">\n       Non. De nombreuses l\u00e9sions, notamment les l\u00e9sions d\u00e9g\u00e9n\u00e9ratives et\n        stables, peuvent \u00eatre prises en charge par une adaptation des\n        activit\u00e9s et de la physioth\u00e9rapie. La d\u00e9cision d\u00e9pend des sympt\u00f4mes,\n        du type de l\u00e9sion, de l\u2019\u00e9tat g\u00e9n\u00e9ral du genou et de son \u00e9volution.\n      <\/div>\n    <\/div>\n\n    <div class=\"faq-item\">\n      <button\n        class=\"faq-header\"\n        type=\"button\"\n        aria-expanded=\"false\"\n      >\n        <span class=\"faq-q\">\n          Quelle diff\u00e9rence entre une l\u00e9sion du m\u00e9nisque<br> et l\u2019arthrose ?\n        <\/span>\n        <span class=\"faq-btn\" aria-hidden=\"true\">+<\/span>\n      <\/button>\n\n      <div class=\"faq-body\">\n       Une l\u00e9sion m\u00e9niscale concerne l\u2019un des deux m\u00e9nisques situ\u00e9s entre le\n        f\u00e9mur et le tibia. L\u2019arthrose correspond \u00e0 une d\u00e9gradation progressive\n        de l\u2019articulation, notamment du cartilage. Une l\u00e9sion du m\u00e9nisque et\n        une arthrose peuvent \u00eatre pr\u00e9sentes simultan\u00e9ment.\n      <\/div>\n    <\/div>\n\n  <\/div>\n\n  <!-- Colonne droite -->\n  <div class=\"faq-col\">\n\n    <div class=\"faq-item\">\n      <button\n        class=\"faq-header\"\n        type=\"button\"\n        aria-expanded=\"false\"\n      >\n        <span class=\"faq-q\">\n           L\u2019IRM est-elle toujours n\u00e9cessaire ?\n        <\/span>\n        <span class=\"faq-btn\" aria-hidden=\"true\">+<\/span>\n      <\/button>\n\n      <div class=\"faq-body\">\n        Non. L\u2019interrogatoire, l\u2019examen clinique et les radiographies peuvent\n        d\u00e9j\u00e0 apporter des informations importantes. L\u2019IRM est particuli\u00e8rement\n        utile lorsqu\u2019il existe un doute diagnostique, des sympt\u00f4mes m\u00e9caniques\n        ou lorsqu\u2019une intervention est envisag\u00e9e.\n      <\/div>\n    <\/div>\n\n    <div class=\"faq-item\">\n      <button\n        class=\"faq-header\"\n        type=\"button\"\n        aria-expanded=\"false\"\n      >\n        <span class=\"faq-q\">\n           Quand un genou bloqu\u00e9 doit-il \u00eatre<br> \u00e9valu\u00e9 rapidement ?\n        <\/span>\n        <span class=\"faq-btn\" aria-hidden=\"true\">+<\/span>\n      <\/button>\n\n      <div class=\"faq-body\">\n         Un genou r\u00e9ellement bloqu\u00e9, qui ne peut plus \u00eatre compl\u00e8tement tendu,\n        doit \u00eatre \u00e9valu\u00e9 rapidement. Un fragment m\u00e9niscal d\u00e9plac\u00e9 peut emp\u00eacher\n        le mouvement normal de l\u2019articulation et n\u00e9cessiter une prise en charge\n        adapt\u00e9e.\n      <\/div>\n    <\/div>\n\n    <div class=\"faq-item\">\n      <button\n        class=\"faq-header\"\n        type=\"button\"\n        aria-expanded=\"false\"\n      >\n        <span class=\"faq-q\">\n          Quelle diff\u00e9rence entre une suture et<br> une m\u00e9niscectomie ?\n        <\/span>\n        <span class=\"faq-btn\" aria-hidden=\"true\">+<\/span>\n      <\/button>\n\n      <div class=\"faq-body\">\n         La suture vise \u00e0 r\u00e9parer et \u00e0 conserver le m\u00e9nisque. La m\u00e9niscectomie\n        partielle consiste \u00e0 retirer uniquement la partie instable qui ne peut\n        pas \u00eatre r\u00e9par\u00e9e. La technique est choisie selon la localisation, la\n        forme et le potentiel de cicatrisation de la l\u00e9sion.\n      <\/div>\n    <\/div>\n\n    <div class=\"faq-item\">\n      <button\n        class=\"faq-header\"\n        type=\"button\"\n        aria-expanded=\"false\"\n      >\n        <span class=\"faq-q\">\n         Peut-on reprendre le sport apr\u00e8s une l\u00e9sion <br>du m\u00e9nisque ?\n        <\/span>\n        <span class=\"faq-btn\" aria-hidden=\"true\">+<\/span>\n      <\/button>\n\n      <div class=\"faq-body\">\n        Oui, dans la majorit\u00e9 des cas. La reprise d\u00e9pend du traitement, de la\n        r\u00e9cup\u00e9ration de la mobilit\u00e9, de la force et de la stabilit\u00e9 du genou.\n        Elle est g\u00e9n\u00e9ralement plus progressive apr\u00e8s une suture m\u00e9niscale afin\n        de prot\u00e9ger la r\u00e9paration pendant sa cicatrisation.\n      <\/div>\n    <\/div>\n\n  <\/div>\n<\/div>\n\n<script>\n(function () {\n  const faq = document.getElementById(\"faq-arthrose\");\n\n  if (!faq) return;\n\n  const items = faq.querySelectorAll(\".faq-item\");\n\n  items.forEach(function (item) {\n    const header = item.querySelector(\".faq-header\");\n\n    header.addEventListener(\"click\", function () {\n      const isOpen = item.classList.contains(\"open\");\n\n      items.forEach(function (otherItem) {\n        otherItem.classList.remove(\"open\");\n\n        const otherHeader = otherItem.querySelector(\".faq-header\");\n\n        if (otherHeader) {\n          otherHeader.setAttribute(\"aria-expanded\", \"false\");\n        }\n      });\n\n      if (!isOpen) {\n        item.classList.add(\"open\");\n        header.setAttribute(\"aria-expanded\", \"true\");\n      }\n    });\n  });\n})();\n<\/script>\n<style>\n@media (max-width: 640px) {\n  #faq-arthrose .faq-header {\n    justify-content: flex-start;\n  }\n\n  #faq-arthrose .faq-q {\n    display: block;\n    flex: 1 1 auto;\n    min-width: 0;\n    white-space: normal !important;\n    overflow-wrap: anywhere;\n  }\n\n  #faq-arthrose .faq-btn {\n    position: static;\n    flex: 0 0 26px;\n  }\n\n  #faq-arthrose .faq-q br {\n    display: none;\n  }\n}\n\n#faq-arthrose .faq-btn {\n  box-sizing: border-box;\n  width: 30px;\n  min-width: 30px;\n  height: 30px;\n  min-height: 30px;\n  padding: 0;\n  aspect-ratio: 1 \/ 1;\n  flex: 0 0 30px;\n  border-radius: 50%;\n  line-height: 1;\n}\n<\/style>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-20cca87 e-flex e-con-boxed e-con e-parent\" data-id=\"20cca87\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-655f077 elementor-widget elementor-widget-heading\" data-id=\"655f077\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">UNE DOULEUR, UN ACCROCHAGE OU UN BLOCAGE DU GENOU ?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9f5c73e elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"9f5c73e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Un examen clinique associ\u00e9 \u00e0 une imagerie adapt\u00e9e permet de d\u00e9terminer si le m\u00e9nisque est r\u00e9ellement responsable des sympt\u00f4mes et de choisir le traitement le plus appropri\u00e9.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c5faaad elementor-align-justify elementor-mobile-align-justify elementor-widget__width-initial elementor-widget-mobile__width-initial elementor-widget elementor-widget-button\" data-id=\"c5faaad\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"https:\/\/coulinmedical.com\/prendre-rendez-vous\/\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">PRENDRE RDV<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>L\u00c9SION DU M\u00c9NISQUE \u00ab L\u2019arthrose ne se r\u00e9sume pas \u00e0 une image radiologique. Chaque genou, chaque douleur et chaque patient n\u00e9cessitent une r\u00e9ponse diff\u00e9rente. \u00bb Une l\u00e9sion du m\u00e9nisque peut appara\u00eetre brutalement apr\u00e8s une torsion du genou ou s\u2019installer progressivement avec l\u2019usure. Douleur, gonflement, accrochage ou blocage ne signifient cependant pas toujours qu\u2019une op\u00e9ration est [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-25441","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/pages\/25441","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/comments?post=25441"}],"version-history":[{"count":25,"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/pages\/25441\/revisions"}],"predecessor-version":[{"id":29293,"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/pages\/25441\/revisions\/29293"}],"wp:attachment":[{"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/media?parent=25441"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}